If Unable to Submit Electronically. Login Portals. Fax:703.535.1566 T: 800.277.8973. Phone: 703.535.1565 Provider Portal Hospitals and physicians offices, click here to log in or register. Need help registering for the PeakTPA Provider Portal, tips for navigating the site, or need to reset your password? Provide a question and answer that only you will know so that we can provide you with a hint in case you ever forget your password in the future. . Retrieve the summary plan description Fax: 855.495.3669, All rights reserved | Copyright 2022 | Privacy Policy Login Portal | Benefit Plan Administrators, Inc. System availability, transaction execution, and response times may vary due To volume, system performance and other factors.Technology provided by Cedar Gate Technologies. Log in to Employer Portal Download documents. License Grant. EZ-NET Login - Cognify Home - Pinnacle Claims Management Having timely and accurate processing of these documents is crucial to meeting filing requirements and ensuring that everything is routed to the appropriate downstream processes. Provider Portal Provider Portal Home Inquiry Search Eligibility Claims Claims Fields marked with * are required. MultiPlan Provider Portal Training Schedule for Groups. Provider Portal Info > MultiPlan Fax: 855.495.3669, NON-MEDICAL/ANCILLARY I'm a Provider. Coastal TPA, Inc. is pleased to provide a self service online tool, which is HIPAA compliant for patient privacy, and provides you with free online access to your benefit information. Provider Portal Provider Secure Login Welcome to the New Provider Portal Returning User Login Username Password Forgot Username/Password? In addition, their IT aptitude allows us to fill in the gaps for one-off type projects. If you don't have access to View paid claim information PeakTPA assures PACE organizations meet all related financial management and regulatory requirements. Same great TPA with a new look. Print or download data in whichever format you prefer (835, CSV, XLS, or PDF). Contact Us Navigation Menu Providers To verify benefits, pre-authorizations or questions, contact: 336-550-4040 Phone 336-550-4044 Fax Mail claims to: PACE of the Triad c/o Peak PACE Solutions P.O. Encounter Data Processing and Submission Coastal Online Services Providers - Pinnacle Claims Management The NCTracks Operations Portal is for State and Fiscal Agent users. Encounter data processing and submission: Encounter data submitted to CMS based on claims received electronically or on paper Recognizing the importance of health plan management services for PACE organizations and in response to the needs of PACE organizations for technical assistance to prepare for and comply with CMS encounter data reporting requirements, NPA selects strategic partners to offer claims management and encounter reporting services to its members. SDS also does pre-adjudication edits, such as member and provider matching. Peak Provider - Peak Health Providers - Total Plan Services, Inc. Learn More. All Rights Reserved. Web TPA Provider - Zipari We are continuing to operate under normal business hours and are here to assist. With five unions and one non-represented group, the number of health plan offerings that we have is immense and greatly adds to the complexity we have asked Peak One to manage. Streamline Your Complete Healthcare Data Workflow. All Rights Reserved. Smart Data Solutions has the tools and experience needed to streamline both your paper and electronic workflows. At Imagine360, we are fixing health insurance to put control back in your hands. SDS handles a lot of the heavy lifting for us and allows us to focus on what we do best. State and Fiscal Agent Operations Users - State and Fiscal Agent - NC For claims status, please call: 866-386-4447. Phone: 208.277.1047 Below are helpful phone line shortcuts for Providers to access account information quickly. Check eligibility status Suite 300 Providers | PACE of the Triad PACE of the Triad c/o Peak PACE Solutions P.O. Login. Our tools, solutions, and continued research into new AI and machine learning processes help payers nationwide reduce costs, achieve greater process efficiency, and reduce turnaround times. Web TPA Provider. Delivery Options: PeakTPA Providers - acs-benefit-services.zelisenroll.com Managing your networks can be a challenge but we can help. your claim, scroll down within the claim and then scroll to the right until yousee the adjustment and remit codes. Get the latest news delivered straight to your inbox! Click for easy access to your online BPA Login Portals. For providers to submit prior authorization requests, provide clinical information, and receive determination outcomes electronically. . Designed and developed by Knock - Marketing and Design. Its time to simplify your employee benefits and plan for financial success. Learn more . QUICK . Services - PeakTPA Training Session: Date: Time: Registration Link: Provider Portal: October 11 th, 2022: 1:00 pm - 3:00 pm CT: Registration Link > Provider Portal: November 15 th, 2022: 9:00 am - 11:00 am CT: Registration Link > Provider Portal: December 13 th, 2022: 1:00 pm - 3:00 pm CT: Registration . Our extensive experience with TPA allows organizations to focus on providing care instead of the technicalities of a health plan. Take a minute and review the exciting online services available to you. Box 30760 Tampa, FL 33630-3760 For claims status, please call: 866-386-4447 Electronic claims payer ID: 27034 We Want to Hear from You! In the provider portal, you can quickly investigate payments history by claim or patient up to 10 years back. Total Senior Care - Program of All-Inclusive Care for the Elderly We provide individualized client services tailored to your organizational needs. SDS performs all of our front-end services. Watch on. CenterPlace , 131 Pleasant Drive, Suite 1 Aliquippa, PA 15001 Click on the hyperlinks listed for the The Smart Data Stream Provider Portal gives you immediate, simple, and low to no cost access to submit and track claims directly through your web browser. No matter how complex the setup and routing, SDS has always been able to make it work for us., Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. Thank you! Provider | ArchCare I am interested in ArchCare services and would like more information. Log in to get started! Just email providerportal@careventionhc.com or call customer support for the health plan for which you provide services: ArchCare : 866-386-4447 Innovative Integrated Health Community Plans:: 888-374-9900 Troy Medicare : 888-494-8769 It's way more than a health plan. At Peak One Administration, our mission is to deliver user-friendly employee benefits administration solutions and the highest levels of productivity-enhancing features while out-performing in customer service and attention. This is a legal Agreement between you and the producers of this website. Aetna Medicaid secure web portal. Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. Fax: 855.495.3669, ENROLLMENT/COBRA Presentations To register for the Provider Portal a provider or representative will need the Provider's Tax ID and a check number recently received from the trust fund. SDS also facilitates and performs automated routing to PPOs and networks, thereby ensuring that we expediently maximize client discounts. Welcome to Coastal Online Services, a secure web portal that provides you with free online access to your current benefit information, any day and any time that's convenient for you. Third Party Administration - CareVention HealthCare Alexandria, Virginia 22314 SDS handles a lot of the heavy lifting for us , Smart Data operates as the EDI clearinghouse, paper claims and enrollment intake, and 834 enrollment hub for our commercial products. Copyright 2021 Smart Data Solutions. Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. BPA BestLife . We recommend using your email address with out the domain. Coastal Online Services are HIPAA-compliant to ensure patient privacy and allow you to: Retrieve your summary plan description and other plan information, Access customer service to get answers to frequently asked questions, You can also contact Coastal by phone to speak with a customer service representative. EZ-NET Login With solutions for paper capture and electronic file conversions, Smart Data Solutions offers a wide array of enrollment services to help streamline your workflow. We apply machine learning and automation into almost every aspect of our business to ensure a smooth process and yield successful results that are on time and on budget. Learn how to recognize Health Plans, Inc. (HPI) members by their member ID cards. Access to online customer service. Request for Claims Review Form. Smart Data Solutions provides complete front-end pre-adjudication solutions for hundreds of Payers nationwide. adjustment/remit codes to get detailed information. EZNET (version 6x) Secured Web Portal is now supported by the following Visit site Total Senior Care, a Program of All-inclusive Care for the Elderly or PACE, is designed to provide seniors with the best in health and long-term care, in order to keep them safe and secure in their home and community. Claims and Benefits Billing Address: ArchCare Advantage c/o Peak TPA P.O. Property and casualty payers have unique challenges and need to partner with a service provider that speaks their language. This includes clearinghouse, scanning, imaging, OCR and mailroom. Providers - Automated Benefit Services To access the resources for a specific provider, please click the provider to be redirected to their site. Home [www.gpatpa.com] Download. Peak Health Insurance Corporation is in the process of applying for licensure as a West Virginia health insurance company. Insurance Administrator of America (IAA) Are you an HPI provider? Our expertise in health plan management, particularly in PACE, means you can focus on delivering high-quality care to your participants. PeakTPA is a service of CareVention HealthCare. The Portal provides secure access to provider and recipient information needed in the operation and maintenance of NCTracks. Providers | PACE of the Triad New to the Portal? What We Offer. Please try again later. The Provider Portal is a great benefit for provider offices. Our staffs expertise in health plan management, particularly in PACE, means your staff can focus on your participants instead of the technicalities of a health plan. Whether you're a health plan member, health care provider, a UCHealth Plan Administrators client, or a broker/consultant partner, our online portal system gives you the information you need, right at your fingertips. Our team has extensive knowledge in the self-funded health benefits marketplace and understands how needs vary by company size and industry. This is the same information our Customer Service Representatives have access to. Getting access to our secure web portal gives providers convenient 24/7 access and many benefits including: Practitioner Application Screening form-online access; Single sign-on - One log-in and password allows you to move smoothly through various systems. If you need further . To help businesses and their employees navigate through clutter and chaos and bring deep cost savings to protect everyone's well-being and budgets. Administrator Access. - Michael Humphrey -Manager Benefits & Records Alaska Railroad, CORPORATE HEADQUARTERS Support - (855) 297-4436 LOGIN MENU . Fax: 855.495.3669, SALES Every member of Sonder is unique and therefore needs care tailored to them. Phone: 469-791-5900 Toll Free: 1-800-969-5238 Fax: 469-513-8522 Located at: If you don't have access to the portal, which is . The process runs smoothly without much intervention. Submit referrals for BMC or BMC Healthnet members. A mailroom is often the first touch-point for your claim and correspondence workflow. If you are a provider contracted with ArchCare Advantage HMO Special Needs Plan, please call: 1-800-373-3177 If you are a provider contracted with ArchCare Community Life (MLTCP), please call: 1-855-467-9351 If you are a provider contracted with ArchCare Senior Life (PACE), please call: 1-866-263-9083 Learn More Internet Explorer 8.0, 9.0, 10 and 11 full and . SDS has a comprehensive service suite thereby allowing one-stop shopping for all our front-end services. Claim denial and adjustment reasons are now visible in the web portal. I'm an Employer. Fax - (651) 699-1401, 960 Blue Gentian RoadEagan, Minnesota 55121. With 330 payers instead of just one, we have an ever-growing network to help you get your money fast. Contact Us - PeakTPA Contact Us Drop Us a Line Office 345 Marshall Avenue, Suite 101 St. Louis, MO 63119 Call Us (833)-609-4609 For Provider Services (866) 386-4447 Email Us info@PeakTPA.com EZ-NET Login - Cognify At Peak One Administration, our mission is to deliver user-friendly employee benefits administration solutions and the highest levels of productivity-enhancing features while out-performing in customer service and attention. HPI | Provider Resources - Health Plans Inc. Contact Us - PeakTPA compatibility mode. New Registration Forgot Username/Password? Box 21631 Eagan, MN 55121. However, no matter how complex we have made it, Peak One has always been able to do an outstanding job for us. info@npaonline.org, Contact Us | Privacy Notice | Terms of Use, NPA Council on Diversity, Equity and Inclusion, Interactive Map of Potential PACE-Eligible Populations. Learn how our BeneQuick can avoid paper and help streamline the enrollment process. Provider Forms - Automated Benefit Services These processes improve scalability and handle volume fluctuations more easily than traditional and manual counterparts. C/O Peak TPA P.O. Peak Pace Solutions Provider Portal - Peak Pace Solutions Provider When we do have an issue they are quick to respond with a solution., SDS does EDI file translation mapping, eligibility checking, and routing to/from our business partners. If you are a provider contracted with ArchCare Community Life (MLTCP), please call: 1-855-467-9351. Copyright 2006-2022 Cedar Gate Technologies. You can also utilize secure services 24/7 by logging into the ABS Provider Portal. WebTPA ProviderPortal 2.0 Our customized offerings include accurate claims adjudication and payment, enrollment management, provider and member services, risk adjustment submission, encounter data submission and Medicare Part D reporting. Claims Processing | National PACE Association With customer-focused and PACE-specific approaches to TPA services, PeakTPA helps your organization remain compliant, obtain accurate reimbursement, and measure performance. PeakTPA provides services that optimize your organization's financial management and fulfill regulatory requirements for health plan functions. Providers. - Michele Barcello, HR - City of Coronado The development and execution of these solutions is always done partnered with the business leaders to ensure meaningful improvements are achieved. Total Senior Care PACE 1080p 1. PeakTPA is a service of CareVention HealthCare. Peak performs back-office functions for PACE organizations, including acting as a Third Party Administrator (TPA) to manage claims from healthcare providers. This includes clearinghouse, scanning, imaging, OCR and mailroom. Our product line strengthens your dollar power. Contact Us PACE Southeast Michigan Provider Prior Authorization Form. providers - IBA TPA Sign In Reminder: In order to create a new account see below Account Creation Guide. For returning account users, log in at left, under "MEMBER/PROVIDER LOG-IN " You can also contact Coastal by phone to speak with a customer service representative. Help center. With customer-focused and PACE-specific approaches to TPA services, PeakTPA helps your organization remain compliant, obtain accurate reimbursement, and measure performance. Whether you need basic services or a completely custom workflow, Smart Data Solutions offers a variety of solutions to meet your unique needs. Claims and Benefits | ArchCare
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